Boone, Myles Dustin
Boone, Myles Dustin is an individual health care provider with primary practice located at One Medical Center Drive Anesthesiology, Lebanon NH 03756-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Boone, Myles Dustin can be contacted via phone (603) 650-6177.Contact Information
Primary practice address
One Medical Center Drive Anesthesiology
Lebanon NH 03756-0001
Phone: (603) 650-6177
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 19115 | New Hampshire |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 19115 | New Hampshire |
Profile Details
| NPI number | 1700843471 |
|---|---|
| LBN Legal business name | Boone, Myles Dustin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Sep 25th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700843471 | NPPES |
| New Hampshire | MEDICAID | 3113612 | |
| New Hampshire | Other | AA65827 | |
| New Hampshire | Other | J40336 | |
| New Hampshire | Other | 34154 | |
| New Hampshire | Other | 0007865 | |
| New Hampshire | MEDICAID | 1033420 | |
| New Hampshire | Other | 494984 | |
| New Hampshire | Other | 117118 | |
| New Hampshire | MEDICAID | 2122421 | |
| New Hampshire | Other | 494984 | |
| New Hampshire | Other | AA65827 |
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